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Potential limitations of this study include the imprecise laterality measure reported by mothers, particularly as the 'mixed-handed' category reflects no reported hand preference rather than a more structured assessment of whether an individual is ambidextrous.
We chose this pragmatic approach, in the absence of previous research in LMIC, given the difficulties of developing a more structured assessment with demonstrable validity across many different countries and cultures.
While all participants agreed that a more structured assessment would be helpful, a self-report measure would not be feasible in the weeks or months following a death: "I looked at all of them [grief self-report measures] and I found them all very difficult to be able to use over the 'phone.
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The prospective use of clinician detection of rash as a biomarker might require more structured assessment.
There is a need for more research, particularly of a detailed nature with more structured assessments used in conjunction with screening items, to improve prevention and treatment strategies.
This enables a more structured needs assessment, but patients may not be able to mention all needs they have.
Children 'bear the brunt' For aid agencies in Gaza, a major focus now is on their capacity to provide psychosocial support to vulnerable families and children, and on their capacity for a more structured, rapid assessment of humanitarian needs.
The SCCs would prefer a more structured referral system combined with the structured assessment procedure.
Patients resulting positive for the screening should be addressed to a specialist, undergo a more structured clinical interview for further assessment, and be treated by psychoeducational or pharmacological interventions.
Given the variety of different therapeutic interventions used (individual, dyad, and group therapy), and without a more structured and consistent method of assessment across contexts, we are hesitant to draw conclusions.
The method allows undertaking the sustainability assessment in a more structured way than what happens today in preliminary design, through scenario building based on socio-ecological assessments, including back-casting to cover the longer time perspective.
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